What Are Superior Hypogastric Plexus Injections?

What Are Superior Hypogastric Plexus Injections?

Most doctors believe that chronic pain in the visceral and pelvic regions is often caused by vulvitis, pelvic fibrosis, prostatitis, irritable bowel syndrome, radiation-induced neuropathy, and myofascial pain syndrome. The superior hypogastric plexus is a component of the sympathetic nervous system that is responsible for communicating the pain from the pelvic regions to the central nervous system. By blocking the superior hypogastric plexus with the necessary injections, one can experience substantial pain relief in the visceral and pelvic areas.

What is a Superior Hypogastric Plexus Block?

Commonly referred to as a hypogastric block, a superior hypogastric plexus block is an innovative and minimally invasive procedure that is used to relieve pelvic and genital pain. The uniqueness of this advanced procedure lies in its efficiency in treating pain from a multiple different origins such as the structures of the pelvic region that are innervated by the inferior hypogastric plexus, genitofemoral nerve, superior hypogastric plexus pudendal, celiac plexus, and the inguinal.

How Does the Procedure Work?

Performing the superior hypogastric plexus block is typically a two-step process, especially with patients who are portraying nonmalignant pain symptoms. In most cases, the physician will perform the diagnostic block first, which consist of injecting a local anesthetic such as lidocaine or bupivacaine to access the pain’s response to a block of the superior hypogastric plexus. If the patient is demonstrating a response to the diagnostic block, the physician will then perform the therapeutic block by administering a neurolytic agent like dehydrated alcohol or phenol. Superior hypogastric plexus injections should always be performed under the careful guidance of a well-qualified pain management specialist.

Who is a Good Candidate for the Superior Hypogastric Plexus Block?

Most physicians recommend superior hypogastric plexus injections for those who are continually suffering from severe chronic pelvic pain despite their efforts to relieve the pain through oral medications, physical therapy, and other traditional therapies. Because the procedure is considered to be more effective than a sympathetic block, most patients will experience great relief from the injections for several months. This treatment may also help those who have been diagnosed with pudendal neuralgia.

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